Provider Demographics
NPI:1245026335
Name:PAULENICH, SAVANNAH SEALY-ANNA SHUMOCK (MD)
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:SEALY-ANNA SHUMOCK
Last Name:PAULENICH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SAVANNAH
Other - Middle Name:SEALY-ANNA
Other - Last Name:SHUMOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:725 WELCH RD
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1601
Mailing Address - Country:US
Mailing Address - Phone:808-259-1548
Mailing Address - Fax:
Practice Address - Street 1:725 WELCH RD
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1601
Practice Address - Country:US
Practice Address - Phone:650-497-8979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-16
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program